Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,119.00 / $3,119.00 / $17,823.00	Facility		$3,119.00	$3,119.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $15,502.00 / $22,165.00	Facility		$11,499.00	$15,502.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.13 / $1,624.21 / $19,145.28	Professional		$1,318.13	$1,624.21	$19,145.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $11,359.00 / $17,200.00	Facility		$7,984.00	$11,359.00	$17,200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,061.00 / $13,851.00 / $17,327.00	Facility		$7,061.00	$13,851.00	$17,327.00